| NPI | 1063737104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: MA LN91254) |
| Additional Taxonomies | 164X00000X Licensed Vocational Nurse (Licence: NY 300693) |
| 163W00000X Registered Nurse (Licence: MA 91254) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2024-03-25 |